Application Form for Integrative Health Coach Training

Application instructions for the INTEGRATIVE HEALTH COACH TRAINING PROGRAM

(if you are interested in the HSP program only, please register here).

Applicants for the self-paced Integrative Health Coach Training Program will be notified via email within 48 hours.
If you are applying for the LIVE 15-Week Integrative Health Coach Training Program sessions, your application will be reviewed and you will be contacted within 48 hours to arrange for a brief telephone interview with Dr. Nickerson.

Any information you share via this website is private. For more information, please read our full privacy policy.

Which program are you interested in taking? The Self-Paced Integrative Health Coach Training ProgramThe LIVE 15-Week Integrative Health Coach Training ProgramLegal NameMailing Address (full address including city, state/province, zip/postal code)Phone Number (where you prefer to be contacted, if needed)Email AddressBirthdate EducationPrevious Experience (list only those roles that are relevant to your participating in the Integrative Health Training ProgramMedical Conditions (optional)Please explain your interest in this program in the space below, including how you would like to apply your training to your life/career. How do you think this program would help you make a difference in the quality of life of others? Tell us about your interest in mind‐body‐spirit health and wellness. How did you hear about this course?If approved, what date do you intend to start the course?Today's Date

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Application Form

for Integrative Health Coach Training Program

Application instructions for the INTEGRATIVE HEALTH COACH TRAINING PROGRAM

(if you are interested in the HSP program only, please register here).